A Study to Learn About the Study Medicine Called PF-08046054/SGN-PDL1V Versus Docetaxel in Adult Participants With Previously-treated Programmed Cell Death Ligand 1 (PD-L1) Positive Non-Small-Cell Lung Cancer (NSCLC)

NCT ID: NCT07144280

Last Updated: 2025-12-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

680 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-29

Study Completion Date

2032-03-10

Brief Summary

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The purpose of this study is to understand if PF-08046054 alone works well compared to standard-of-care docetaxel alone in participants with non-small cell lung cancer (NSCLC) with PD-L1 expression greater than or equal to 1% and had cancer progression during or after treatment with PD-L1 or PD-1 inhibitors, platinum-based chemotherapy, and targeted treatment regimen(s) for participants with known actionable genomic alterations (AGAs). Participants in this study must have cancer that has spread through their body or can't be removed with surgery or treated with definitive radiation.

Participants will randomly (like a flip of the coin) be assigned to either the PF-08046054 treatment group or the docetaxel treatment group. Participants in the PF-08046054 treatment group will receive an IV infusion (injected directly into the veins) twice during each 21-day cycle. Participants in the docetaxel treatment group will receive an IV infusion once during each 21-day cycle. Study participation may be up to 5 years if the participant's NSCLC is responding to treatment. The study team will see how each participant is doing with the study treatment during regular visits at the clinic.

Detailed Description

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Conditions

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Non-small Cell Carcinoma Non-Small Cell Lung Cancer Metastatic Non-Small Cell Lung Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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PF-08046054 monotherapy

PF-08046054 monotherapy

Group Type EXPERIMENTAL

PF-08046054

Intervention Type DRUG

Antibody Drug Conjugate

Participants will receive PF-08046054, administered as an IV infusion.

Docetaxel monotherapy

Docetaxel monotherapy

Group Type ACTIVE_COMPARATOR

Docetaxel monotherapy

Intervention Type DRUG

Participants will receive Docetaxel, administered as an IV infusion.

Interventions

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PF-08046054

Antibody Drug Conjugate

Participants will receive PF-08046054, administered as an IV infusion.

Intervention Type DRUG

Docetaxel monotherapy

Participants will receive Docetaxel, administered as an IV infusion.

Intervention Type DRUG

Other Intervention Names

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SGN-PDL1V

Eligibility Criteria

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Inclusion Criteria

1. Histologically or cytologically confirmed diagnosis of locally advanced, unresectable Stage IIIB and IIIC not eligible for definitive chemoradiotherapy or metastatic (Stage IV: M1a, M1b, or M1c) NSCLC per the American Joint Committee on Cancer (AJCC) Staging Manual, Version 8.0, and the Union for International Cancer Control (UICC) Staging System. Note: Participants with a neuroendocrine component or histology are not eligible.
2. PD-L1 expression on ≥1% of tumor cells based on local immunohistochemistry (IHC) testing with an assay utilizing the anti-PD-L1 monoclonal antibody clones 22C3 or SP263.
3. Participants who have NSCLC with known AGAs are permitted (eg, estimated glomerular filtration rate (EGFR) mutations, anaplastic lymphoma kinase (ALK) translocations).
4. Able to provide any of the following tumor tissues for biomarker analysis:

* Archival specimen (preferably collected within 12 months after the last anticancer therapy) (see laboratory manual for details); or
* Fresh tissue from a tumor lesion, if medically feasible.
5. Participants must have received the following therapies and progressed during or relapsed after receiving their most recent prior therapy:

Participants with no known AGAs must fulfill 1 of the following conditions:

* Received a platinum-based combination therapy for the treatment of metastatic or recurrent disease and a PD-L1 or PD-1 monoclonal antibody (concurrently or sequentially with platinum-based chemotherapy), unless contraindicated.
* Experienced disease progression within 6 months of the last dose of platinum-based chemotherapy in the adjuvant, neoadjuvant, or chemoradiotherapy setting and received a PD-L1 or PD-1 monoclonal antibody at any time during the course of treatment.

Participants with known AGAs (eg, EGFR mutations, ALK translocations, or other relevant actionable mutations) must fulfill the following conditions:

* Must have received at least 1 approved AGA-targeted therapy and, in the opinion of the investigator, additional AGA-targeted therapy is not in the best interest of the participant
* Received a platinum-based combination therapy for the treatment of metastatic or recurrent disease, or experienced disease progression within 6 months of the last dose of platinum-based chemotherapy in the adjuvant, neoadjuvant, or chemoradiotherapy setting.
* May have received PD-1 or PD-L1 monoclonal antibody (concurrently or sequentially with platinum-based chemotherapy).

Exclusion Criteria

1. History of another malignancy within 3 years before the first dose of PF-08046054, or any evidence of residual disease from a previously diagnosed malignancy. Exceptions are malignancies with a negligible risk of metastasis or death (eg, 5-year overall survival (OS) ≥90%), such as adequately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, localized prostate cancer, ductal carcinoma in situ, or Stage I uterine cancer.
2. Active central nervous system (CNS) lesions are excluded. Active is defined as untreated or symptomatic requiring corticosteroids \>10 mg/day of prednisone equivalent within the previous 14 days.

Participants with clinically inactive, definitively treated brain metastases (surgery and/or radiotherapy) are eligible if they meet the following criteria:
* The participant is on a stable dose of ≤10 mg/day of prednisone or equivalent for at least \>14 days (if requiring steroid treatment).
* No evidence of clinical and radiographic disease progression in the CNS for ≥28 days after definitive radiotherapy and/or surgery.
* The use of corticosteroids at higher dose occurring ≥28 days prior to the Screening visit unless it is intermittent use for other medical conditions and allowed as a concomitant therapy.
3. Participants with a history of leptomeningeal metastasis are excluded.
4. Prior treatment with an anti-PD-L1 agent (where indicated per protocol) within 5 half-lives.
5. Previous receipt of an Monomethyl auristatin E (MMAE)-containing agent or prior docetaxel.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Alabama Oncology

Alabaster, Alabama, United States

Site Status NOT_YET_RECRUITING

Alabama Oncology

Bessemer, Alabama, United States

Site Status NOT_YET_RECRUITING

Alabama Oncology-

Birmingham, Alabama, United States

Site Status NOT_YET_RECRUITING

Alabama Oncology

Birmingham, Alabama, United States

Site Status NOT_YET_RECRUITING

Alabama Oncology

Birmingham, Alabama, United States

Site Status NOT_YET_RECRUITING

Alabama Oncology

Birmingham, Alabama, United States

Site Status NOT_YET_RECRUITING

Alabama Oncology

Birmingham, Alabama, United States

Site Status NOT_YET_RECRUITING

Medical Oncology Hematology Consultants, PA

Newark, Delaware, United States

Site Status NOT_YET_RECRUITING

Cancer Care Centers of Brevard, Inc.

Palm Bay, Florida, United States

Site Status NOT_YET_RECRUITING

Illinois Cancer Specialists

Arlington Heights, Illinois, United States

Site Status NOT_YET_RECRUITING

Illinois Cancer Specialists

Chicago, Illinois, United States

Site Status NOT_YET_RECRUITING

Allina Health Cancer Institute - Mercy Hospital

Coon Rapids, Minnesota, United States

Site Status NOT_YET_RECRUITING

Allina Health Cancer Institute - Abbott Northwestern Hospital

Minneapolis, Minnesota, United States

Site Status NOT_YET_RECRUITING

Allina Health Cancer Institute - United Hospital

Saint Paul, Minnesota, United States

Site Status NOT_YET_RECRUITING

Missouri Cancer Associates

Columbia, Missouri, United States

Site Status NOT_YET_RECRUITING

Intermountain Health St. Vincent Regional Hospital - Cancer Centers of Montana

Billings, Montana, United States

Site Status NOT_YET_RECRUITING

CHRISTUS St. Vincent Regional Cancer Center

Santa Fe, New Mexico, United States

Site Status NOT_YET_RECRUITING

Christus St. Vincent Regional Medical Center

Santa Fe, New Mexico, United States

Site Status NOT_YET_RECRUITING

White Plains Hospital

White Plains, New York, United States

Site Status NOT_YET_RECRUITING

Oncology Hematology Care

Cincinnati, Ohio, United States

Site Status NOT_YET_RECRUITING

Oncology Associates of Oregon, P.C.

Eugene, Oregon, United States

Site Status NOT_YET_RECRUITING

Texas Oncology - Central/South Texas

Austin, Texas, United States

Site Status NOT_YET_RECRUITING

Texas Oncology- Central South.

Austin, Texas, United States

Site Status NOT_YET_RECRUITING

Texas Oncology Central South

Austin, Texas, United States

Site Status NOT_YET_RECRUITING

Texas Oncology- Central South.

Austin, Texas, United States

Site Status NOT_YET_RECRUITING

Texas Oncology - Central South (Renfert Way)

Austin, Texas, United States

Site Status NOT_YET_RECRUITING

Texas Oncology - Central/South Texas

Austin, Texas, United States

Site Status NOT_YET_RECRUITING

Texas Oncology - Dallas (Sammons)

Dallas, Texas, United States

Site Status NOT_YET_RECRUITING

Texas Oncology- Central South

Harlingen, Texas, United States

Site Status NOT_YET_RECRUITING

US Oncology Investigational Product Center (IPC)

Irving, Texas, United States

Site Status NOT_YET_RECRUITING

US Oncology Investigational Products Center (IPC)

Irving, Texas, United States

Site Status NOT_YET_RECRUITING

Texas Oncology

McAllen, Texas, United States

Site Status NOT_YET_RECRUITING

Texas Oncology- Central South

Waco, Texas, United States

Site Status NOT_YET_RECRUITING

Texas Oncology-Central South

Waco, Texas, United States

Site Status NOT_YET_RECRUITING

Texas Oncology - Gulf Coast

Webster, Texas, United States

Site Status NOT_YET_RECRUITING

Texas Oncology - Central South

Weslaco, Texas, United States

Site Status NOT_YET_RECRUITING

Blue Ridge Cancer Care

Blacksburg, Virginia, United States

Site Status NOT_YET_RECRUITING

Oncology & Hematology Associates of Southwest Virginia Inc dba Blue Ridge Cancer Care

Salem, Virginia, United States

Site Status NOT_YET_RECRUITING

Shenandoah Oncology, P.C.

Winchester, Virginia, United States

Site Status NOT_YET_RECRUITING

Calvary Mater Newcastle

Waratah, New South Wales, Australia

Site Status NOT_YET_RECRUITING

McGill University Health Centre

Montreal, Quebec, Canada

Site Status NOT_YET_RECRUITING

Beijing Friendship Hospital Affiliate of Capital University

Beijing, Beijing Municipality, China

Site Status NOT_YET_RECRUITING

Beijing Cancer hospital

Beijing, Beijing Municipality, China

Site Status NOT_YET_RECRUITING

Chongqing University Cancer Hospital

Chongqing, Chongqing Municipality, China

Site Status NOT_YET_RECRUITING

Fujian Cancer Hospital

Fuzhou, Fujian, China

Site Status NOT_YET_RECRUITING

Southern Medical University Nanfang Hospital

Guangzhou, Guangdong, China

Site Status RECRUITING

Guangxi Medical University Affiliated Tumor Hospital

Nanning, Guangxi, China

Site Status NOT_YET_RECRUITING

Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status NOT_YET_RECRUITING

Jiangsu Province Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

The Affiliated Hospital of Xuzhou Medical College

Xuzhou, Jiangsu, China

Site Status NOT_YET_RECRUITING

The First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Site Status NOT_YET_RECRUITING

Jinan Central Hospital

Jinan, Shandong, China

Site Status NOT_YET_RECRUITING

Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, China

Site Status NOT_YET_RECRUITING

Shanghai East Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Taizhou Hospital of Zhejiang Province

Taizhou, Zhejiang, China

Site Status RECRUITING

Henan Cancer Hospital

Zhengzhou, , China

Site Status RECRUITING

Rabin Medical Center

Petah Tikva, Central District, Israel

Site Status NOT_YET_RECRUITING

Shaare Zedek Medical Center

Jerusalem, Jerusalem, Israel

Site Status NOT_YET_RECRUITING

Hadassah Medical Center

Jerusalem, Jerusalem, Israel

Site Status NOT_YET_RECRUITING

Sourasky Medical Center

Tel Aviv, TELL ABĪB, Israel

Site Status NOT_YET_RECRUITING

National Hospital Organization Kure Medical Center and Chugoku Cancer Center

Kure, Hiroshima, Japan

Site Status NOT_YET_RECRUITING

Hyogo Cancer Center

Akashi, Hyōgo, Japan

Site Status NOT_YET_RECRUITING

National Hospital Organization Kochi National Hospital

Kochi, Kochi, Japan

Site Status NOT_YET_RECRUITING

Mie Chuo Medical Center

Tsu, Mie-ken, Japan

Site Status RECRUITING

Sendai Kousei Hospital

Sendai, Miyagi, Japan

Site Status RECRUITING

National Hospital Organization Nagasaki Medical Center

Ōmura, Nagasaki, Japan

Site Status NOT_YET_RECRUITING

National Hospital Organization Beppu Medical Center

Beppu-shi, Oita Prefecture, Japan

Site Status NOT_YET_RECRUITING

NHO Kinki Chuo Chest Medical Center

Sakai, Osaka, Japan

Site Status NOT_YET_RECRUITING

The University of Osaka Hospital

Suita, Osaka, Japan

Site Status NOT_YET_RECRUITING

Nippon Medical School Hospital

Bunkyo-ku, Tokyo, Japan

Site Status NOT_YET_RECRUITING

National Hospital Organization Tokyo National Hospital

Kiyose, Tokyo, Japan

Site Status NOT_YET_RECRUITING

National Hospital Organization Kyushu Cancer Center

Fukuoka, , Japan

Site Status NOT_YET_RECRUITING

National Hospital Organization Kyoto Medical Center

Kyoto, , Japan

Site Status NOT_YET_RECRUITING

National Hospital Organization Okayama Medical Center

Okayama, , Japan

Site Status RECRUITING

Instytut MSF Sp zoo

Lodz, Łódź Voivodeship, Poland

Site Status NOT_YET_RECRUITING

Ad-Vance Medical Research

Ponce, , Puerto Rico

Site Status NOT_YET_RECRUITING

Chungbuk National University Hospital

Cheongju-si, Chungcheongbuk-do [chungbuk], South Korea

Site Status NOT_YET_RECRUITING

Inje University Haeundae Paik Hospital

Haeundae-gu, Pusan-kwangyǒkshi, South Korea

Site Status RECRUITING

Severance Hospital, Yonsei University Health System

Seoul, Seoul-teukbyeolsi [seoul], South Korea

Site Status RECRUITING

Asan Medical Center

Seoul, Seoul-teukbyeolsi [seoul], South Korea

Site Status NOT_YET_RECRUITING

Samsung Medical Center

Seoul, Seoul-teukbyeolsi [seoul], South Korea

Site Status NOT_YET_RECRUITING

The Catholic Univ. of Korea Seoul St. Mary's Hospital

Seoul, Seoul-teukbyeolsi [seoul], South Korea

Site Status NOT_YET_RECRUITING

Hospital Universitario Virgen de Valme

Seville, , Spain

Site Status NOT_YET_RECRUITING

Changhua Christian Hospital

Changhua County, Changhua, Taiwan

Site Status RECRUITING

Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung City, , Taiwan

Site Status NOT_YET_RECRUITING

Taichung Veterans General Hospital

Taichung, , Taiwan

Site Status NOT_YET_RECRUITING

National Cheng Kung University Hospital

Tainan, , Taiwan

Site Status NOT_YET_RECRUITING

National Taiwan University Hospital

Taipei, , Taiwan

Site Status NOT_YET_RECRUITING

Taipei Veterans General Hospital

Taipei, , Taiwan

Site Status NOT_YET_RECRUITING

Countries

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United States Australia Canada China Israel Japan Poland Puerto Rico South Korea Spain Taiwan

Central Contacts

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Pfizer CT.gov Call Center

Role: CONTACT

1-800-718-1021

Related Links

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https://pmiform.com/clinical-trial-info-request?StudyID=C5851005

To obtain contact information for a study center near you, click here.

Other Identifiers

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2025-521281-97-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

C5851005

Identifier Type: -

Identifier Source: org_study_id

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